Active NPI
Integrative Health Clinic
- Marriage & Family Therapist
- Baltimore, MD
National Provider Identifier
1023200227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCM132
- Legal business name
- INTEGRATIVE HEALTH CLINIC
- Practice address
- 3601 Clarks LN
Suite 5a
Baltimore, MD 21215-2731 - Phone
- (410) 764-7777
- Fax
- (410) 764-7788
- NPI assigned
- Aug 13, 2007
- Organization subpart
- Yes
- Parent organization
- DR GAV LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gabriel Newman, PHD
- Title
- Clinical Director
- Phone
- (410) 764-7777
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCM132 | MD | |
| Marriage & Family Therapist | 106H00000X | LCM132 | MD | Primary |
Addresses
Primary practice location
3601 Clarks LN
Suite 5a
Baltimore, MD 21215-2731
Mailing address
3601 Clarks LN
Suite 5a
Baltimore, MD 21215-2731
Phone (410) 764-7777
National Provider Directory
National Provider Directory- Part of
- Integrative Health Clinic
Locations
3601 Clarks Ln
Ste 5A
Baltimore, MD 21215
Phone (410) 764-7777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186963200000",
"number": "1023200227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 CLARKS LN",
"address_2": "SUITE 5A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212152731",
"telephone_number": "410-764-7777",
"fax_number": "410-764-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 CLARKS LN",
"address_2": "SUITE 5A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212152731",
"telephone_number": "410-764-7777",
"fax_number": "410-764-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE HEALTH CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DR GAV LLC",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "GABRIEL",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "410-764-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LCM132",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LCM132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Integrated Rehab Consultants LLC
- Integrated Rehab Consultants LLC
- Integrated Rehab Consultants LLC
- Integrated Rehab Consultants LLC
- Integrated Rehab Consultants LLC
- Integrative Medical Care LLC
- Integrative Therapy Center of Maryland, LLC
- Integrative Wellbeing Pioneers
- Integrity Health Services LLC
- Integrity Living, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.